Healthcare Provider Details

I. General information

NPI: 1801741921
Provider Name (Legal Business Name): THE CONNECTED SPACE COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7376 HUNTLEY LN
COTTONDALE AL
35453-3972
US

IV. Provider business mailing address

4200 MCFARLAND BLVD UNIT 33
NORTHPORT AL
35476-7702
US

V. Phone/Fax

Practice location:
  • Phone: 205-561-7908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEXIS PULLINS
Title or Position: OWNER, THERAPIST
Credential: LICSW
Phone: 205-561-7908